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Title: Bilateral Renal Artery Aneurysm: Percutaneous Treatment with Stent-Graft Placement

Abstract

A 51-year-old man with an 8-year history of hypertension (170/115 mmHg with two drugs) and altered renal function (5.6 mg/dl serum creatinine, 101 mg/dl BUN) was referred to our Department to evaluate the renal arteries and rule out renovascular hypertension. Doppler ultrasound and magnetic resonance angiography revealed significant bilateral renal artery stenosis and the presence of bilateral renal artery aneurysms. A self-expandable polytetrafluoroethylene (PTFE)-covered nitinol stent-graft was deployed in each renal artery to treat the stenoses and to exclude the aneurysm. Postprocedural digital subtraction angiography confirmed the resolution of the renal artery stenoses and the complete exclusion of the aneurysms. At the 6 month follow-up, color Doppler confirmed normal patency of the renal arteries with complete exclusion of the aneurysms and significant reduction of the blood pressure (130/85 mmHg with one drug) and serum creatinine levels (2.1 mg/dl)

Authors:
; ; ; ; ;  [1]
  1. University of Tor Vergata, Department of Diagnostic Imaging and Interventional Radiology (Italy)
Publication Date:
OSTI Identifier:
21091149
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 29; Journal Issue: 5; Other Information: DOI: 10.1007/s00270-004-8209-6; Copyright (c) 2006 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; BIOMEDICAL RADIOGRAPHY; BLOOD PRESSURE; CREATININE; DRUGS; GRAFTS; HYPERTENSION; KIDNEYS; NICKEL ALLOYS; POLYTETRAFLUOROETHYLENE; TITANIUM ALLOYS

Citation Formats

Gandini, R., Spinelli, A., Pampana, E., Fabiano, S., Pendenza, G., E-mail: giapende@libero.it, and Simonetti, G. Bilateral Renal Artery Aneurysm: Percutaneous Treatment with Stent-Graft Placement. United States: N. p., 2006. Web. doi:10.1007/S00270-004-8209-6.
Gandini, R., Spinelli, A., Pampana, E., Fabiano, S., Pendenza, G., E-mail: giapende@libero.it, & Simonetti, G. Bilateral Renal Artery Aneurysm: Percutaneous Treatment with Stent-Graft Placement. United States. doi:10.1007/S00270-004-8209-6.
Gandini, R., Spinelli, A., Pampana, E., Fabiano, S., Pendenza, G., E-mail: giapende@libero.it, and Simonetti, G. 2006. "Bilateral Renal Artery Aneurysm: Percutaneous Treatment with Stent-Graft Placement". United States. doi:10.1007/S00270-004-8209-6.
@article{osti_21091149,
title = {Bilateral Renal Artery Aneurysm: Percutaneous Treatment with Stent-Graft Placement},
author = {Gandini, R. and Spinelli, A. and Pampana, E. and Fabiano, S. and Pendenza, G., E-mail: giapende@libero.it and Simonetti, G.},
abstractNote = {A 51-year-old man with an 8-year history of hypertension (170/115 mmHg with two drugs) and altered renal function (5.6 mg/dl serum creatinine, 101 mg/dl BUN) was referred to our Department to evaluate the renal arteries and rule out renovascular hypertension. Doppler ultrasound and magnetic resonance angiography revealed significant bilateral renal artery stenosis and the presence of bilateral renal artery aneurysms. A self-expandable polytetrafluoroethylene (PTFE)-covered nitinol stent-graft was deployed in each renal artery to treat the stenoses and to exclude the aneurysm. Postprocedural digital subtraction angiography confirmed the resolution of the renal artery stenoses and the complete exclusion of the aneurysms. At the 6 month follow-up, color Doppler confirmed normal patency of the renal arteries with complete exclusion of the aneurysms and significant reduction of the blood pressure (130/85 mmHg with one drug) and serum creatinine levels (2.1 mg/dl)},
doi = {10.1007/S00270-004-8209-6},
journal = {Cardiovascular and Interventional Radiology},
number = 5,
volume = 29,
place = {United States},
year = 2006,
month =
}
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  • Spontaneous and isolated dissecting aneurysm of the superior mesenteric artery is a rare event that has been successfully treated by surgery in several reported cases. To our knowledge, we present the first case of a patient with spontaneous and isolated dissecting aneurysm of the superior mesenteric artery that was successfully treated by endovascular stent-graft placement.
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